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Refinance Take Sheet
Escrow Officer
Property Address
Escrow Opened
Time Limit
Borrower Name (vesting)
Mailing Address
Social Security No.'s
Home#
Work#
Cell#
Send Escrow Instructions (please check one): Mail to Borrower or C/O Mtg. Broker
New Loan Amount :

Existing 1st Loan:  To be paid off: or To remain:

Lender
Loan No.
Primary Social Security No. on Account
Existing 2nd Loan:  To be paid off: or To remain:
New Lender
Loan No.
Mortgage Broker Name
Address
Phone
Title Company
Credit Rep

Special Instructions/ Contingencies

Escrow Services
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